Eczema and Infection

Treadwell, Patricia

doi:10.1097/inf.0b013e31817a73ac

Cited by 12 publications

(11 citation statements)

References 9 publications

(4 reference statements)

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“…Although previous studies suggest that the incidence of these reactions approaches 10% in children with molluscum, we suspect that the incidence in young children is significantly higher. 11,15,17,18,24 Appropriate management of the id reaction should primarily be focused on educating patients and their families, reassuring them, and encouraging conservative management with topical emollients and antibiotics should the lesions become infected. However, in symptomatic patients, other treatment should be discussed.…”

Section: Discussionmentioning

confidence: 99%

“…In both settings, practitioners often treat asymptomatic patients with topical steroids and/or immunomodulators that are often unnecessary and may delay the clearance of the primary MC infection. 11,16,19,20 In our case series, we describe id reactions to MC infection in healthy asymptomatic or mildly symptomatic children. We hope that this report will help clinicians to diagnose and manage this condition.…”

mentioning

confidence: 85%

“…2 Nonetheless, all studies agree that, once infected, atopic patients tend to experience a more recalcitrant disease course with a higher than usual relapse rate. [10][11][12][13] Both atopic and nonatopic individuals often develop hypersensitivity reactions to the MC virus that manifest as an eczematous patch surrounding the MC lesions. Because of their eczematous appearance, these eruptions are often referred to as molluscum dermatitis or eczema molluscatum.…”

mentioning

confidence: 99%

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Recognizing and Managing Eczematous Id Reactions to Molluscum Contagiosum Virus in Children

Netchiporouk

Cohen²

2012

Pediatrics

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Molluscum contagiosum (MC) is a self-limiting cutaneous viral eruption that is very common in children. MC infection can trigger an eczematous reaction around molluscum papules known as a hypersensitivity or an id reaction. In addition, a hypersensitivity reaction can occasionally occur at sites distant from the primary molluscum papules. These eczematous reactions are often asymptomatic or minimally pruritic. We believe that id reactions represent an immunologically mediated host response to MC virus and a harbinger of regression. Therefore, these reactions often do not require treatment other than emollients. Moreover, topical steroids or immunomodulators may suppress this process and potentiate the spread of the primary MC infection. However, in symptomatic patients, treatment should not be withheld and short-course treatments of topical corticosteroids may be used. In this case series, we describe 3 cases of hypersensitivity reactions in otherwise healthy children with MC. We hope that our report will make clinicians more aware of this common eczematous response to MC and will improve the management and counseling of these patients and their parents.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 85%

mentioning

confidence: 99%

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Recognizing and Managing Eczematous Id Reactions to Molluscum Contagiosum Virus in Children

Netchiporouk

Cohen²

2012

Pediatrics

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“…However, patients with atopic dermatitis, once infected with molluscum contagiosum, tend to experience more recalcitrant infection with a higher relapse rate [ 5 ].…”

Section: • Molluscum Contagiosum Occurs Worldwide But Is More Commonmentioning

confidence: 99%

Molluscum Contagiosum, Viral Warts, and Tinea Versicolor

Chan

2015

Pediatric Skin of Color

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Molluscum contagiosum and viral warts are common viral infections in children. They are benign infections that often resolve spontaneously in healthy children. Treatment is often sought to reduce cutaneous dissemination, social stigma and spread to close contacts. Painless topical therapy is often preferred for younger children. Older children may be able to tolerate more aggressive therapeutic modalities. A combination of treatment options is often used for recalcitrant viral warts and molluscum. Tinea (pityriasis) versicolor usually occurs in adolescents. It responds well to treatment with topical antifungal agents, but recurrence is common. Keywords Human papilloma virus • Molluscum contagiosum • Pityriasis versicolor • Malassezia

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“…The specificity and sensitivity of the virus culture depends on the quality of the swab and culture techniques 9. A rapid and inexpensive method is direct fluorescence antigen testing, which can also distinguish between HSV-1 and HSV-2 infections.…”

Section: Investigationsmentioning

confidence: 99%

Fifteen-minute consultation: eczema herpeticum in a child

Khan

Shaw

Bernatoniene

2014

Arch Dis Child Educ Pract Ed

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Eczema herpeticum (EH) occurs when there is secondary skin infection with herpes simplex virus in an atopic patient. The patient may not have unusually severe or active eczema. It is thought that the abnormal skin barrier function predisposes to infection, which can spread rapidly. Viraemia and secondary septicaemia can occur, and the condition can be life-threatening. The first episode of herpes infection is usually the worst and requires systemic treatment. Early recognition is vital. The presentation may be difficult to distinguish from secondary bacterial infection, which is common in eczema. A useful clinical clue is the presence of many very similar shaped and sized eroded lesions. Intact blisters may not be seen due to scratching. A rapid deterioration in eczema in a child who is systemically unwell should prompt consideration of EH.

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Eczema and Infection

Cited by 12 publications

References 9 publications

Recognizing and Managing Eczematous Id Reactions to Molluscum Contagiosum Virus in Children

Recognizing and Managing Eczematous Id Reactions to Molluscum Contagiosum Virus in Children

Molluscum Contagiosum, Viral Warts, and Tinea Versicolor

Fifteen-minute consultation: eczema herpeticum in a child

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